Individual
LAUREN LAVERNE TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
215 WILLOUGHBY AVE, BROOKLYN, NY 11205-3806
(718) 687-5493
Mailing address
600 BOULEVARD SOUTH SW STE 104, HUNTSVILLE, AL 35802-2175
(888) 499-3506
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
432520
NY
363LA2200X
Adult Health Nurse Practitioner
1-135432
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
432520
NY
Other
Enumeration date
12/06/2022
Last updated
01/27/2026
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